Workshops

July, 8th 2014.

THE MECHANISM OF VAGINAL DELIVERY AND CAESAREAN SECTION
 
Time: July 18th, 11:00h

Supervisor: Professor Tihomir Vejnović, MD PhD, Assistant Nemanja Višnjevac, MD, Assistant Stevan Milatović, MD

Student demonstrator: Aleksandra Vejnović

Place: Department of Gynaecology and Obstetrics, Clinical Center of Vojvodina


This workshop is designed in an interactive form where you can learn about the mechanism of normal delivery and possible complications of delivery with review of caesarean section delivery modified by Vejnovic.

Statistically speaking, caesarean delivery is the most common obstetric surgery today. Improvement of operative techniques, anaesthesia, care and transfusion has contributed to safety of the procedure and expansion of indications. The opening lecture will be focused on one of new operative techniques – Caesarean section delivery modified by Vejnovic. The main characteristic of modification Vejnović is shortening uterus suture so the subsequent scar is significantly smaller.

This lecture will be supported with live video operation of caesarean section delivery. After the lecture a discussion in which all the participants can actively participate will follow. In the practical part of this workshop all the attendees will actively participate in the normal vaginal delivery on obstetrical and childbirth simulator models.

 
      
 
 
THE AIRWAY AND INTRAVENOUS ACCESS WORKSHOP
 
Time: July 18th, 11:00h

Supervisor: Assistant Izabella Fabri, MD

Place: Faculty of Medicine, University of Novi Sad


Medical doctors should be familiar with the adequate establishment of a patient’s airway. The airway can be secured in several ways, which mainly depends on the degree of respiratory failure of the patient and on the skills and technical possibilities of the performer.

The first approach to a person who is not breathing properly would consist of several manoeuvres aimed at opening the airway. They consist of an effective chin lift, jaw thrust and head toss of the afflicted. If the measures listed above provide with no result, the patient should be ventilated either manually or mechanically and airway should be maintained with a face mask, a supraglottic device or an endotracheal tube. The ability to obtain intravenous (IV) access is an essential skill in medicine. The procedure can appear deceptively simple when performed by an expert, when it is in fact a difficult skill which requires considerable practice to perfect.

Generally IVs are started at the most peripheral site that is available and appropriate for the situation. IV access is essential in managing problems in all critically ill patients. All critically ill patients require IV access in anticipation of future potential problems, when fluid and/or medication resuscitation may be necessary.

The workshop is designed to provide the participants all the necessary skills which are required in airway establishment and intravenous access. Participants will have the opportunity to learn how to adequately ventilate patients on medical simulator mannequins, to insert several different types of laryngeal masks and endotracheal tubes. Participants also will have the opportunity to practice placement of peripheral intravenous lines. Each practical skill performance will be followed by valuable theory-related information from to the given discipline.

 
     
 
 
EMERGENCY MEDICINE: KEEP CALM AND HELP
 
Time: July 19th, 11:00h
 
Supervisor: Marijan Ciganović
 
Place: Faculty of Medicine, University of Novi Sad

This workshop will be a course (adjusted to all congress participants) during which you will acquire basic knowledge and skills in the pre-hospital management of some life-threatening conditions such as a cardiac arrest and severe external bleeding.

The workshop consists of three parts:

·         The theoretical part. We will talk about providing first aid, the basic methods of revival (BLS - Basic Life Support) using the            Automatic External Defibrillator (AED) and about methods used to stop external haemorrhage.

·         A practical session during which you will be able to practice and improve your skills.

 

An ancient Chinese proverb and an educational aphorism says: “I hear and I forget. I see and I remember. I do and I understand.”

The third part is made up of a realistic example of an accident, in which case you become the life rescuer. You will use your skills and knowledge on the mannequins and live simulators. During these exercises you will initiate the best possible rescuing procedure for the injured before the ambulance arrives.

 
   
 

IMAGING OF COMMON NEUROLOGICAL DISORDERS

Time: July 18th, 11:00h

Supervisor: Professor Duško Kozić, MD PhD

Place: Faculty of Medicine, University of Novi Sad


Neuroradiology is a clinical subspecialty dealing with detection of the brain and spinal cord diseases, using radiological equipment: computed tomography, magnetic resonance imaging and angiography. The lecture will be based on teaching how physicians should properly make decisions about using imaging, associated with radiological evaluation of certain clinical problems like brain inflammation, infections, trauma, ischemic stroke, seizure, haemorrhage and tumours.

 

MAXILLOFACIAL SURGERY AND OTOLARYNGOLOGY BASICS

 

Time: July 18th, 19th, 11:00h

Supervisors: Professor Slobodan Savović, MD PhD, Assistant Professor Maja Buljčik-Čupić, MD PhD,  Assistant mr Ljiljana Jovančević, MD

Place: Faculty of Medicine, University of Novi Sad


Skill training:

·         Examination of patient with maxillofacial trauma

·         Endotracheal intubation

·         Cricothyrotomy

This interactive workshop should provide theoretical facts needed to perform successfully practical operations frequently applied in otolaryngology and maxillofacial surgery. During the simulation training participants will get useful advice and important information from tutors of Department of otolaryngology.

A cricothyrotomy (also called thyrocricotomy, cricothyroidotomy, inferior laryngotomy, intercricothyrotomy, coniotomy or emergency airway puncture) is an incision made through the skin and cricothyroid membrane to establish a patent airway during certain life-threatening situations, such as airway obstruction by a foreign body, angioedema, or massive facial trauma. Cricothyrotomy is nearly always performed as the last resort in cases where orotracheal and nasotracheal intubation are impossible or contraindicated. Cricothyrotomy is easier and quicker to perform than tracheotomy, does not require manipulation of the cervical spine, and is associated with fewer complications. However, while cricothyrotomy may be life-saving in extreme circumstances, this technique is only intended to be a temporizing measure until a definitive airway can be established.

Tracheal intubation, usually simply referred to as intubation, is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway or to serve as a conduit through which to administer certain drugs. It is frequently performed in critically injured, ill or anesthetized patients to facilitate ventilation of the lungs, including mechanical ventilation, and to prevent the possibility of asphyxiation or airway obstruction.

 

SURGERY TECHNIQUE BASICS 

Time: July 19th, 11:00h

Supervisor: Stevan Oluić, Marko Mirković

Place: Faculty of Medicine, University of Novi Sad


In this workshop you can learn how to make surgical knots with hands and instruments and some of the most frequently used sutures. Knowing how to do sutures is not only a basic skill necessary for surgeons, but in all other disciplines. Learn the basics of suture techniques and feel the surgical craft in your hands!

 
 
 
PUBLISH OR PERISH: YOUR GUIDE TO PUBLISHING STUDENT RESEARCH PAPER 

Time: July 19th, 15.30h

Supervisor: Stefan Barišić

Place: Faculty of Medicine, University of Novi Sad

What makes a good article and how to increase the chances ti get published, how to choose the right journal and what is impact factor, how do reviewing and selection procedures work, what is plagiarism and how it can be discovered, why to publish the results of student research at all and how it will influence your career... and much more!

Medical Youth, scientific journal for students and young researchers since 1949.

 

INSIDE SCANNING ELECTRON MICROSCOPE (SEM) 

Time: July 18th, 11:30h

Supervisor: Miloš Bokorov, biologist- expert for Electron Microscopy

Place: Faculty of Sciences Novi Sad – Department of Biology and Ecology


This workshop is a unique opportunity to peek into the micro-world and to become familiar with the Scanning Electron Microscope (SEM). You will learn how SEM works and how it is used. Afterwards you will see some of the biological specimens under magnification up to almost 500.000 times.

 

PHARMACOTHERAPY OF CARDIOLOGICAL DISORDERS  

Time: July 18th, 11:00h

Supervisor: Professor Aleksandar Rašković, MD PhD, Assistant Nebojša Stilinović, MD PhD

Place: Faculty of Medicine, University of Novi Sad


Arterial hypertension, heart failure, angina pectoris and cardiac arrhythmias are the most frequent and diseases of cardiovascular system of great importance. They affect above 20% of the total population with its major impact on those over age of 50. Management of this disorders requires attention to detail, both clinical and pharmacological. In  this workshop, drugs important in the treatment of these deseases will be outlined and main features related to the pharmacotherapy in cardiology will be discussed. After short information about pharmacological properties of cardiovascular drugs, given at the beginning of the workshop, students will discuss about cases of patients with mentioned cardiological problems.

 

RADIOTHERAPY WORKSHOP   

Time:July 18th 2014, 11:30h

Supervisor: Professor Marko Erak, MD PhD, Assistant Branislav Đuran, MD

Place:Institute of Oncology of Vojvodina- Department of Radiotherapy, Sremska Kamenica


Radiotherapy workshop is designed specifically for the participants who wish to be informed about this specific topic.

Radiotherapy is one of the major treatment options in cancer management. In every day clinical oncology practice, almost two thirds of solid cancers are being treated by radiotherapy. Radiotherapy combined with surgical and medical disciplines improve treatment outcome better than surgery or radiotherapy alone.

The workshop includes lectures and practical presentation.

List of topics:

1.      Introduction to Radiotherapy

2.      Basic radiobiology

3.      Types of radiotherapy treatment

4.      What is brachytherapy?

5.      Steps of 3D conformal Radiotherapy

6.      Complications of radiotherapy

7.      Future prospects of radiotherapy

8.      Followup of cancer patient receiving radiotherapy

 

THE PRESENT AND THE FUTURE OF CARDIOVASCULAR SURGERY 

Time: July 18th, 11:30h

Supervisor: Professor Pavle Kovačević, MD PhD

Place: Institute of Cardiovascular Diseases Vojvodina, Department of Acquired Heart Defects, Sremska Kamenica


The workshop will include one-hour lecture followed by a video presentation about the latest achievements, developments in cardiovascular surgery with special emphasis on :

·         Open and Endovascular Aortic Surgery

·         Minimally invasive procedures in cardiac surgery (mini-incision, torkoscopic and robotic surgery)

·         Treatment of heart failure with VAD (Ventricular Assisting Heartdevice)

In the case of operators and number of patients, there is the possibility of entering the operating room and direct viewing of surgical procedures.

 

INTRODUCTION AND WORK WITH NOVEL IMPLANTATION SYSTEMS

Time: July 19th, 11:00h

Supervisor: Siniša Mirković, Professor of Oral Surgery and Dental Implantology

Place: Clinic of Dentistry, Clinical Center of Vojvodina


The purpose of this workshop is to show dentistry students components and techniques necessary to complete the surgical and restorative stages of implant cases. The workshop involves a combination of lectures, demonstrations and hand-on workshop utilising the complete range of hand and mechanical instrumentation to install implants on their own on implant models.

 

PREGNANCY AND CHILDBIRTH - BRIGHT AND DARK SIDE

Time: July 19th, 11:00h

Supervisor: Professor Tihomir Vejnović, MD PhD, Professor Mirjana Bogavac, MD PhD, Assistant Nemanja Višnjevac, MD, Assistant Stevan Milatović, MD

Student demonstrator: Aleksandra Vejnović

Place: Department of Gynaecology and Obstetrics, Clinical Center of Vojvodina


Every day around 350.000 babies come into this world! For the most of women the pregnancy and childbirth become the happiest moments of their life. For the other, pregnancy gets complicated and can threaten her life or the life of her baby.

During this workshopparticipants will get to know some of the most important conditions which can lead to serious complications during the pregnancy and delivery. Main causes of maternal and fetal morbidity and mortality will be presented through the picturesque examples. In the following interactive discussion of presented clinical cases, participants will learn how to recognize and treat such a conditions in order to keep bright end of the pregnancy.

 

SAFETY ASSESSMENT IN OPIATE ADDICTS DURING METHADONE MAINTENACE TREATMENT

Time: July 19th, 11:00h

Supervisors: Associate Professor Isidora Samojlik, MD, PhD, Associate Professor Stojan Petković, MD, PhD, Teaching Assistant Vesna Mijatović, MD

Place: Faculty of Medicine, University of Novi Sad


Methadone is a synthetic agonist of opioid receptors which is used in methadone maintenance tratment (MMT) of opiate addicts as well as in the treatment of chronic pain. A long-term use of MMT is followed by mild, mostly transient, adverse effects. However, methadone can provoke a prolongation of QTc (corrected QT) interval in ECG and thus increase the risk from the development of potentially fatal arrhythmias – torsades de pointes. Moreover, methadone is widely associated with benzodiazepines use in heroin addicts, and this combination is considered as a risk factor for lethal outcome. Despite the fact that most of health care professionals are aware of possible respiratory depressant effect of methadone and benzodiazepines co-administration, recently published data reveal that ventricular arrhythmia and cardiac arrest are currently the most frequent adverse event attributed to methadone and benzodiazepine co-medication.

After attending this workshop the participants (students of medicine and pharmacy) will be able to understand and cope with the clinical situations - problems regarding patients on MMT, to evaluate risk assessment and to adjust therapy according to patients’ physical condition (patient history, clinical status and laboratory results). The knowledge will be obtained through solving remarkable case reports

 

BREATH HOLD DIVING - WORKSHOP

Time: July 19th, 11:00 AM

Supervisor: Tutorov Ognjen Peđa, MD, MSc Sport med, Instructor Apnea Academy

Place: Sports Center ‘’Slana Bara’’- Swimming pool


Theory session 

1) what is freediving?
2) physiological changes during breath hold diving

Apnea means breath holding – temporary break of respiratory activities. Freediving is immersion in the state of apnea. During apnea, continued metabolic activities lead to body oxygen depletion and carbon-dioxide accumulation. Reduction in oxygen demand means decrease in oxygen uptake and consumption in tissues. There is no break of oxygen transport from lungs to tissues and tissues oxygen utilization during breath holding despite the absent of respiratory movements.

Breath hold diving has two periods:

-easy going phase – before urge to breathe onset (diaphragmatic contractions), characterized with high PaO2 and low PaCO2, predominantly aerobic phase
-struggle phase – is starting with diaphragmatic contraction onset. It is characterized with high PaCO2 in the beginning, and low PaO2 in the end of apnea. This is mostly anaerobic phase.

Physiological breaking point is the end of the easy apnea phase and beginning of the struggle phase. Freediver notice onset of urge to breathe feeling and start of diaphragmatic contractions. It happens in the moment that CO2 concentration reaches the level which starting to stimulate respiratory center in the brain.

Breath hold diving is actually combination of changes affecting freedivers body:
1) respiratory arrest (breath hold)
2) oxygen reduction and carbon-dioxide accumulation in the body
3) high water pressure compressing the body

There are tree factors determining apnea duration:
a) oxygen stores capacity
b) hypoxic and hypercapnic toleration capacity
c) oxygen minimal consumption (VO2min)

Swimmingpool session

1) breathing exercise
2) relaxation exercise
3) demonstration of diving reflex
4) freediving and scuba diving exercises

Diving reflex is body response to water immersion in apnea. Diving reflex we find in all diving mammals (dolphins, whales, seals). Diving reflex activation causes intense body reactions:
 -bradicardia
- bloodshift
- spleen contraction

Bradycardia means hearth rate reduction and bloodshift is contraction of periphery blood vessels in legs and arms leading to reduction in blood perfusion peripheral tissues resistant to hypoxia. Physiological effects of diving reflex activation cause reduction of oxygen body utilization and conserving of oxygen stores.
We will analyze heart rate and oxygen saturation changes in correlation with breath hold diving duration time, and made breath hold diving profiles. Breath hold diving profile shows changes of heart rate and oxygen saturation during apnea time.

Breath hold diving training improve brain and body hypoxic tolerance and protective adaptation to low oxygen concentration – discover secrets and beauty in one breath diving…